Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fora Dermatology PLLC

Organization Dermatology Physician · NPI 1366086597

Fora Dermatology PLLC is a Dermatology Physician in Mooresville, North Carolina. Works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

118 Gateway Blvd Ste A
Mooresville, NC 28117-6542
Phone: (704) 230-1302
Fax: (704) 230-1284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 128 Medical Park Rd Ste 201, Mooresville, NC 28117-8579 — (704) 230-1302

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X
Dermatology Physician Taxonomy 207N00000X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1366086597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bishr Al Dabagh — Owner · (704) 230-1302
Other names Pc Dermatology Pllc
NPI enumeratedOctober 31, 2019
Last updated in NPPESJune 4, 2023
Certification dateJune 4, 2023
Mailing address118 Gateway Blvd Ste A, Mooresville, NC 28117-6542

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